Vandepitte M, Vandereycken W
Tijdschr Psychiatr. 2008;50(8):545-8.
Two girls, 16 and 18 years old, with anorexia nervosa developed generalized convulsion as a result of drinking excessive amounts of water. The neurological symptoms disappeared, but the girls held on to their excessive drinking habits, despite psychoeducation. Although fluid restriction is known to be a major problem for anorexia nervosa patients within the context of extreme fasting, one should realize that these patients can also run the risk of water intoxication following excessive water intake. Therefore all patients should be questioned explicitly about their daily fluid intake. In the case of polydipsia, the patient's blood should be tested and serum electrolytes should be measured. Patients should be given psychoeducation in order to make them more aware of the possible dangers of excessive water intake.
两名分别为16岁和18岁的神经性厌食症女孩因过量饮水而出现全身性惊厥。神经症状消失了，但尽管接受了心理教育，这两名女孩仍保持过量饮水的习惯。虽然在极度禁食的情况下，液体限制是神经性厌食症患者面临的一个主要问题，但人们应该意识到，这些患者在过量摄入水分后也有水中毒的风险。因此，应该明确询问所有患者的每日液体摄入量。对于烦渴患者，应检测其血液并测量血清电解质。应对患者进行心理教育，以使他们更加意识到过量饮水可能带来的危险。
